Most people could think of several good reasons to move to Hawai’i and work in health care. It’s a beautiful gem of a place with welcoming people and Aloha Spirit. Why save up for an occasional Hawaiian vacation when you could be enjoying sunny beaches, warm waters, and lush jungles year-round? The problem is that entry into Hawai’i’s health care system has largely become a revolving door of those who …
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Hospitalist Jasminka Vukanovic-Criley discusses her article, “When grief hits all at once: a morning of heartbreak and love.” Jasminka shares a deeply personal account of a Saturday morning where unexpected news of …
Medicine today is single-encounter oriented with documentation largely tailored for legal purposes rather than medical care. When an encounter ends, the physician must sign off the documentation and no further changes can be made; any corrections require another document that must also be signed off, but this is seldom done.
A further problem with current medicine is that many diagnoses are differential diagnoses instead of confirmed ones, which may be OK …
Across America, physicians worry about malpractice litigation—but what happens when state policies unintentionally create a malpractice litigation magnet? New Mexico offers a troubling case study every health care provider should know about.
Between 2019 and 2024, New Mexico lost 248 practicing physicians; for a large state with a small population, this is significant. Rural communities bear the brunt of this exodus. Specialists, surgeons, and primary care doctors alike have left, most …
Is artificial intelligence going to replace physicians? I think the most accurate answer that can be given at this point is “maybe.” Either way, vehemently denying the mere possibility serves no one. If the takeover does happen, being proactive (rather than reactive) and carving a meaningful space for the physician workforce in light of AI leaves us better off than sitting on the sidelines as the next chapter begins. And …
The Diagnostic and Statistical Manual of Mental Disorders (DSM) defines mental health, including depression, in terms of pathology or a deviation from normal that is reliably exhibited in observable behaviors. It describes genetics and risk factors, differences in gender, and considers cultural perspectives. Limitations of the DSM diagnostic criteria are acknowledged and recognize that human experience, or interaction between genetics and environment, cannot be captured completely. While the underlying neurobiology …
I entered medicine like many young physicians do—eager, determined, and drawn to its promise of excellence. The white coat, the respect, the thrill of diagnosing a rare disease or saving a critical life—all of it called to me with undeniable force. I studied relentlessly, passed my boards, published research, and spoke on conference stages. Those achievements came with a sense of pride, even joy. But they were not the full …
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Medical students Kaitlynn Esemaya, Anamaria Ancheta, and Annique McLune discuss their article, “Why vaccine access still fails America’s most vulnerable groups.” They highlight how social determinants of health drive pervasive inequities in …
Canada prides itself on being a welcoming nation for immigrants, particularly those with advanced professional qualifications. However, Canada persistently underemploys highly skilled immigrant professionals, especially physicians. An official report by the Conference Board of Canada and the Institute for Canadian Citizenship (ICC) in 2023 confirmed that growing numbers of immigrants are leaving Canada within seven years of landing. Daniel Bernhard, ICC’s chief executive, stated, “It’s not good enough to just …
It rolled past me—the same dull, tan utility cart we usually use to haul IV pumps, portable monitors, or the occasional dead printer. No decorations. No sign. Just an enormous pile of candy and snacks.
To be fair, it wasn’t bad candy. There were Kit Kats. Some decent chocolate. But still, the message was clear: “We see you. We care. Here’s a Kit Kat.” And because our admin staff does care—a …
When 2025 America tuned into HBO’s award-winning series The Pitt, we showed we’re seeking authenticity.
As someone who works at the intersection of health and invention and built their life around the creation of direct social impact, I see the show for what it is: a brutally honest portrayal of the intrinsic tragedy in our health care system. And an opportunity.
The Pitt’s unflinching portrayal of time, talent, and organizational politics is a …
Medicine loves a martyr.
From the first white coat ceremony to the last day of residency, we are told a story: That good doctors are tireless, self-sacrificing, endlessly available. That the more you give up—sleep, family, hobbies, sometimes even health—the more worthy you are to wear the title. The message is rarely said aloud, but it’s everywhere: the ones who leave early to pick up their kids are “lucky to be …
An excerpt from A Return to Healing.
Patients often ask me to do whatever tests are necessary to make sure they don’t have cancer or any other really bad diseases. It’s called screening: Look for diseases before patients exhibit symptoms, then fix the problems before they can rear their ugly head. Many of my patients believe that they have had their lives saved this way, always by a caring and …
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Surgeon Suhaib J. S. Ahmad discusses his article, “Why even the best employees are silently quitting health care.” Suhaib explores the phenomenon of highly competent and once-passionate health care professionals disengaging and …
“I look at my baby and I don’t feel a thing,” the patient whispers as she cradles her 3-week-old baby. “I feel so much guilt … sometimes I don’t want to be here at all.” And yet, she is not alone. Her words echo the silent yet growing public health crisis of perinatal mental health.
Approximately 1 in 5 women are affected by mental health conditions during the perinatal period. …
For as long as I can remember, I’ve wanted to be a physician.
My journey to medicine is not unique. My motivations ring familiar to all health care workers. Many medical students are cut from the same cloth in this regard. We want to help people, to use science to alleviate human suffering, and to push the envelope of medical research. But we also want to earn a living and have …
Many of the physicians we work with are highly disciplined, generous with their time, and deeply committed to their profession. They spend years in training, work demanding hours, and carry an enormous sense of responsibility. Yet even with strong incomes and responsible habits, many still feel uncertain about their long-term financial picture.
The problem is not how much they earn. It is that income alone is not a strategy.
Physicians face unique …
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Medical students Vineeth Amba and Archita Goyal discuss their article, “What’s driving medical students away from primary care?” They share the widespread discouragement medical students encounter regarding primary care careers, despite initial …
Recently, while reading The History of Medicine by William Bynum, I was struck by a line that quietly reframed a great deal of what we claim to believe about our profession. Reflecting on how medicine has evolved, Bynum writes: “When in doubt, remember the Hippocratic injunction that health is most likely to be found in the middle way.”
That notion, nuanced, modest, and deeply clinical, feels worlds apart from …
Why doctors should care
Five core concepts, clinical parallels
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